Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED GASCHEN (EXECUTIVE VICE PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
11815 EDUCATION ST, AUBURN, CA 95602-2410
(530) 888-4535
(530) 889-6095
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
CA
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
CA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028511
—
CA
Enumeration date
11/07/2005
Last updated
09/28/2007
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